A STUDY OF THE OMNIBUS BUDGET RECONCILIATION ACT OF 1987 AND THE AMENDMENTS OF 1989 AND 1990. MANDATORY EDUCATION FOR NURSING ASSISTANTS AND THEIR EFFECT OF JOB PERFORMANCE IN TWO COUNTIES IN FLORIDA.
Contributors: University of North Texas.
Published: 1995
Number of pages: 93
Subjects: Education, Vocational.; Health Sciences, Education.; Health Sciences, Nursing.
Description: In the health care arena today, 95 percent of hands-on care is given by nursing assistants. Public Law 100-203--Omnibus Budget Reconciliation Act (OBRA) sets the requirements and establishes federal action to implement nurse assistant training and evaluation.

The purpose of this study was to focus on the Omnibus Budget Reconciliation Act of 1987 and the amendments of 1989 and 1990. Nursing assistants (37) in the categories of 300-hour programs, 120-hour programs, and those who challenge the state certification examination, were placed in cluster groups of 300-hours, 120-hours, and 0-hours. Each subject's job performance of nursing care was observed using the Francis's Task Performance Rating Scale. Each subject completed a demographic data form. Anonymity was preserved by the use of the last four numbers of their social security account number. The scale scores and demographic data were summarized and analyzed using one-way analysis of variance, t-test, and the test of proportions. The purpose of the analysis was to determine (1) if there was a significant difference in job performance of patient care between program completers and the challengers, (2) if there was a significant difference in the job performance of patient care between 300-hour and 120-hour, and (3) if there was a significant difference between the content required in OBRA mandated nursing assistant programs and actual job performance skills needed in patient care. It was determined that program completers' job performance of patient care was significantly different from the challengers. There was a difference between program completers of 300-hours and 120-hours. The content required by OBRA mandated nursing assistant courses was relevant to the skills needed by nursing assistants in the job performance of patient care. There are some trends in the data that warrant further study. It was recommended that the 300-hour programs for nursing assistants be the basic entry level into the job performance of patient care in the sub-acute area of long-term care and the acute area of the hospital.
Notes: Source: Dissertation Abstracts International, Volume: 56-08, Section: A, page: 3096.

Thesis (PH.D.)--UNIVERSITY OF NORTH TEXAS, 1995.

School code: 0158.